| NPI | 1770638264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: GA CSW004155) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NC P003621) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2013-02-05 |